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Prenatal diagnosis of a right coronary artery to right atrial fistula with a giant coronary artery aneurysm: A case report
Author(s) -
Cui Cunying,
Liang Weijie,
Fan Taibing,
Liu Lin
Publication year - 2020
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22873
Subject(s) - medicine , coronary artery aneurysm , right coronary artery , cardiology , aneurysm , fistula , radiology , fetus , artery , pregnancy , coronary angiography , kawasaki disease , myocardial infarction , genetics , biology
Coronary artery fistula (CAF) is a rare cardiac anomaly. Here, we diagnosed a right coronary artery‐right atrium fistula with giant coronary artery aneurysm (CAA) via fetal echocardiography at 35 weeks' gestation. An urgent caesarean delivery was performed at 36 weeks' gestation because CAA caused mitral obstruction, and fetal atrial flutter was present. Following delivery, we performed aneurysm ligation because the new‐born developed atrial tachycardia. The intraoperative findings confirmed the sonographic findings. To the best of our knowledge, prenatal ultrasound diagnosis of CAF and giant CAA has not been reported in the literature. We focus on the ultrasonic characteristics and differential diagnosis in this literature.